This is your confirmation the application you have filled out is your own work and the information is factually true.

In place of your signature, please type your full legal name:

Date

Completed application materials should be submitted by February 1, 2019

For further information regarding the Iowa History Center Distinguished Scholars Program contact:
Dr. William Friedricks, Director of the Iowa History Center
Phone: 515-961-1634 | Email: bill.friedricks@simpson.edu